Musculoskeletal System§ 4.71aUpdated
Rating criteria

VA Diagnostic Code 5283Tarsal, or metatarsal bones, malunion of, or nonunion of

Rated from 10% to 30% under § 4.71a. Here is what the VA requires at each level.

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The ladder

What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 30%

    Severe

  2. 20%

    Moderately severe

  3. 10%

    Moderate

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note: With actual loss of use of the foot, rate 40 percent.

Malunion or Nonunion of the Tarsal or Metatarsal Bones (Diagnostic Code 5283)

Musculoskeletal System — 38 CFR § 4.71a

Understanding This Condition

The tarsal and metatarsal bones are the bones that make up the midfoot and forefoot. When one of these bones breaks, it normally heals back into its proper position and alignment. Two things can go wrong during that healing process:

  • Malunion — the bone heals, but in a poor or incorrect position.
  • Nonunion — the bone fails to heal together at all.

Both outcomes can affect how the foot functions. Under VA Diagnostic Code 5283, the disability is evaluated based on the overall severity of the impairment.

Available Rating Levels

The VA assigns a disability rating for this condition based on how severe the malunion or nonunion is:

RatingSeverity
30%Severe
20%Moderately severe
10%Moderate

Important note: If there is actual loss of use of the foot, the condition is rated at 40 percent.

What the VA Looks For

When rating a malunion or nonunion of the tarsal or metatarsal bones, the VA focuses on the severity of the condition, placing it into one of three categories — moderate, moderately severe, or severe — with corresponding rating levels of 10%, 20%, and 30%.

The VA also considers whether the condition has resulted in the actual loss of use of the foot, which carries a higher rating of 40 percent.


This information is provided for general educational purposes and reflects the rating criteria set out in 38 CFR § 4.71a for Diagnostic Code 5283. Every claim is evaluated on its own facts.

These criteria are a rendering of § 4.71a, diagnostic code 5283. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 5283 and attach the evidence for the level you are asking for. Other Musculoskeletal System codes may cover your secondary conditions.

Find out which rating your evidence supports.

Six reads your records against these exact criteria and tells you what the VA is still missing.

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